Reworking professional nursing identity

Reworking professional nursing identity
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DOI:
10.1177/0193945903252419
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发表时间:
2003-10-01
影响因子:
1.8
通讯作者:
MacIntosh, J
MacIntosh, J
中科院分区:
医学4区
文献类型:
--
作者:
MacIntosh, J

文献摘要

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尽管通过护理教育项目实现了职业社会化,但应届毕业生在成为职业专业人员时会感受到压力。这项扎根的理论研究探索了有经验的护士对他们如何成为专业人员的看法。护士的中心问题是期望和经验之间的不协调;他们通过一个反复的、分三个阶段重新确定职业认同的过程来解决这个问题。这一过程的阶段是假设充分性、实现实践和发展声誉。当注意到新的差异,提高认识,实践改变,学习,或有经验的护士成为另一个工作领域的相对新手时,这个过程就会反复发生。护士在每一次迭代中以更快的速度和不同的水平完成阶段。三个背景因素影响着这一过程:期望;对他人给予护理的地位的感知;以及工作场所他人的接受、帮助和倡导带来的支持。这些发现扩展了关于职业社会化的知识,以及护士自己如何理解发展职业认同。
In spite of professional socialization through nursing education programs, new graduates experience stress as they become working professionals. This grounded theory study explores experienced nurses' perceptions of how they became professional. The central problem for nurses was dissonance between expectations and experiences; they addressed this through an iterative, three-stage process of reworking professional identity. The stages of this process are assuming adequacy, realizing practice, and developing a reputation. Iterations of this process occur as new discrepancies are noticed, enhanced awareness dawns, practice changes, learning is undertaken, or experienced nurses become relative novices in another work area. Nurses move through stages more quickly and at different levels with each iteration. Three contextual factors influence the process: expectation; perception of the status accorded by others to nursing; and supportiveness by acceptance, assistance, and advocacy from others in the workplace. These findings expand knowledge about professional socialization and how nurses themselves understand developing professional identity.